Clearwater, FL —
OSHA Injury Report: 10515 Clearwater
Injury · Other recordable case
At a glance
On , an injury at 10515 Clearwater in 27001 US 19 North, Clearwater, FL 33761 resulted in other recordable case. Employee was s Store Receiver.
Where did this happen?
- Establishment
- 10515 Clearwater
- Street
- 27001 US 19 North
- City
- Clearwater
- State
- FL
- ZIP
- 33761
- On-site location
- Receiving
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cleaning outside receiving area
What happened
TM left ladder unsecured while cleaning and it fell on TM from behind.
Injury or illness
Bruise Back
Object or substance involved
Ladder or Step Stool
Summary line
TM left ladder unsecured while cleaning and it fell on TM from behind.
Employee and industry
- Job description
- S Store Receiver
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2012
- Avg employees
- 169
- Total hours worked
- 244262
- EIN
- 521711175
- Establishment ID
- 715481
- Employer case #
- 0005772259
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 5:30
- Filing year
- 2024
- Submitted
- 01MAR2025:19:41:00
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View 10515 Clearwater's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.